• 제목/요약/키워드: Risk assessment table

검색결과 44건 처리시간 0.03초

모자건강관리를 위한 위험요인별 감별평점분류기준 개발에 관한 연구 (A Study on the Risk Factors for Maternal and Child Health Care Program with Emphasis on Developing the Risk Score System)

  • 이광옥
    • 대한간호학회지
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    • 제13권1호
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    • pp.7-21
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    • 1983
  • For the flexible and rational distribution of limited existing health resources based on measurements of individual risk, the socalled Risk Approach is being proposed by the World Health Organization as a managerial tool in maternal and child health care program. This approach, in principle, puts us under the necessity of developing a technique by which we will be able to measure the degree of risk or to discriminate the future outcomes of pregnancy on the basis of prior information obtainable at prenatal care delivery settings. Numerous recent studies have focussed on the identification of relevant risk factors as the Prior infer mation and on defining the adverse outcomes of pregnancy to be dicriminated, and also have tried on how to develope scoring system of risk factors for the quantitative assessment of the factors as the determinant of pregnancy outcomes. Once the scoring system is established the technique of classifying the patients into with normal and with adverse outcomes will be easily de veloped. The scoring system should be developed to meet the following four basic requirements. 1) Easy to construct 2) Easy to use 3) To be theoretically sound 4) To be valid In searching for a feasible methodology which will meet these requirements, the author has attempted to apply the“Likelihood Method”, one of the well known principles in statistical analysis, to develop such scoring system according to the process as follows. Step 1. Classify the patients into four groups: Group $A_1$: With adverse outcomes on fetal (neonatal) side only. Group $A_2$: With adverse outcomes on maternal side only. Group $A_3$: With adverse outcome on both maternal and fetal (neonatal) sides. Group B: With normal outcomes. Step 2. Construct the marginal tabulation on the distribution of risk factors for each group. Step 3. For the calculation of risk score, take logarithmic transformation of relative proport-ions of the distribution and round them off to integers. Step 4. Test the validity of the score chart. h total of 2, 282 maternity records registered during the period of January 1, 1982-December 31, 1982 at Ewha Womans University Hospital were used for this study and the“Questionnaire for Maternity Record for Prenatal and Intrapartum High Risk Screening”developed by the Korean Institute for Population and Health was used to rearrange the information on the records into an easy analytic form. The findings of the study are summarized as follows. 1) The risk score chart constructed on the basis of“Likelihood Method”ispresented in Table 4 in the main text. 2) From the analysis of the risk score chart it was observed that a total of 24 risk factors could be identified as having significant predicting power for the discrimination of pregnancy outcomes into four groups as defined above. They are: (1) age (2) marital status (3) age at first pregnancy (4) medical insurance (5) number of pregnancies (6) history of Cesarean sections (7). number of living child (8) history of premature infants (9) history of over weighted new born (10) history of congenital anomalies (11) history of multiple pregnancies (12) history of abnormal presentation (13) history of obstetric abnormalities (14) past illness (15) hemoglobin level (16) blood pressure (17) heart status (18) general appearance (19) edema status (20) result of abdominal examination (21) cervix status (22) pelvis status (23) chief complaints (24) Reasons for examination 3) The validity of the score chart turned out to be as follows: a) Sensitivity: Group $A_1$: 0.75 Group $A_2$: 0.78 Group $A_3$: 0.92 All combined : 0.85 b) Specificity : 0.68 4) The diagnosabilities of the“score chart”for a set of hypothetical prevalence of adverse outcomes were calculated as follows (the sensitivity“for all combined”was used). Hypothetidal Prevalence : 5% 10% 20% 30% 40% 50% 60% Diagnosability : 12% 23% 40% 53% 64% 75% 80%.

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LNAPL에 의한 소수성 유기오염물질의 지하환경 내 이동성 변화가 위해성 증가에 미치는 영향: p-xylene과 benz[a]anthracene의 경우 (Enhanced Transport and Risk of a Highly Nonpolar Pollutant in the Presence of LNAPL in Soil-groundwater System: In Case of p-xylene and benz[a]anthracene)

  • 류혜림;한준경;김영진;남경필
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제12권4호
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    • pp.25-31
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    • 2007
  • 물질 간 상호작용이 위해도에 많은 영향을 미칠 수 있다는 것은 널리 알려져 있지만 이를 위해성평가에 적용할 수 있는 방안은 아직 미미한 실정이다. 본 연구에서는 p-xylene이 토양 내에 존재할 때, 대수층으로의 이동성이 극히 제한적인 benz[a]anthracene (BaA)의 지하수로의 이동성 증가를 확인하고 그 증가된 위해도를 산정하기 위하여, 지하 환경을 모사한 셀을 제작하여 실험을 수행하였으며, 이를 해석하는 간단한 물질이동 모델을 개발하였다. 셀 실험 결과 BaA의 이동성은, BaA와 p-xylene이 혼합물질로 동시에 존재하는 경우에, BaA만으로 오염되어 있는 경우보다 월등히 높았다. 후자의 경우는 강우에 의한 이동이 주요 이동기작이었으며 그 정도는 아주 미미하였다. Defined Time Steps (DTS)을 이용하여 개발된 오염물질 이동모델은 두 물질 모두 실험결과와 유사한 경향을 보이며 변하는 것을 확인하였으나, 더욱 정확한 예측을 위하여 모델의 수정, 보완작업이 계속되고 있으며 이는 다음 연구의 주제가 될 것이다. 실험실 규모의 셀 실험의 경우 모세관대가 물질이동에 중요한 역할을 하기 때문에 실험실 규모의 시뮬레이션에서는 모세관대 모듈을 적용하는 것이 보다 적합한 것으로 나타났다. 현장규모 오염에서의 모델링 결과를 토대로 위해도를 산정하고 비교한 결과, 지하수 섭취를 통한 BaA의 발암위해도는 NAPL이 존재할 때, 존재하지 않을 때보다, 약 15${\sim}$87배 크게 계산되었다. NAPL이 존재하지 않는 경우 BaA의 지중 이동속도는 매우 느리며, 실제 오염현장의 경우 이동 과정에서 물질분해가 일어나므로 NAPL의 존재 여부에 따른 실제 위해도 차이는 더 크게 발생할 것으로 예상된다.

데이터베이스 정규화 이론을 이용한 국민건강영양조사 중 다년도 식이조사 자료 정제 및 통합 (Data Cleaning and Integration of Multi-year Dietary Survey in the Korea National Health and Nutrition Examination Survey (KNHANES) using Database Normalization Theory)

  • 권남지;서지혜;이헌주
    • 한국환경보건학회지
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    • 제43권4호
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    • pp.298-306
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    • 2017
  • Objectives: Since 1998, the Korea National Health and Nutrition Examination Survey (KNHANES) has been conducted in order to investigate the health and nutritional status of Koreans. The food intake data of individuals in the KNHANES has also been utilized as source dataset for risk assessment of chemicals via food. To improve the reliability of intake estimation and prevent missing data for less-responded foods, the structure of integrated long-standing datasets is significant. However, it is difficult to merge multi-year survey datasets due to ineffective cleaning processes for handling extensive numbers of codes for each food item along with changes in dietary habits over time. Therefore, this study aims at 1) cleaning the process of abnormal data 2) generation of integrated long-standing raw data, and 3) contributing to the production of consistent dietary exposure factors. Methods: Codebooks, the guideline book, and raw intake data from KNHANES V and VI were used for analysis. The violation of the primary key constraint and the $1^{st}-3rd$ normal form in relational database theory were tested for the codebook and the structure of the raw data, respectively. Afterwards, the cleaning process was executed for the raw data by using these integrated codes. Results: Duplication of key records and abnormality in table structures were observed. However, after adjusting according to the suggested method above, the codes were corrected and integrated codes were newly created. Finally, we were able to clean the raw data provided by respondents to the KNHANES survey. Conclusion: The results of this study will contribute to the integration of the multi-year datasets and help improve the data production system by clarifying, testing, and verifying the primary key, integrity of the code, and primitive data structure according to the database normalization theory in the national health data.

A simplified method for estimating the fundamental period of masonry infilled reinforced concrete frames

  • Jiang, Rui;Jiang, Liqiang;Hu, Yi;Ye, Jihong;Zhou, Lingyu
    • Structural Engineering and Mechanics
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    • 제74권6호
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    • pp.821-832
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    • 2020
  • The fundamental period is an important parameter for seismic design and seismic risk assessment of building structures. In this paper, a simplified theoretical method to predict the fundamental period of masonry infilled reinforced concrete (RC) frame is developed based on the basic theory of engineering mechanics. The different configurations of the RC frame as well as masonry walls were taken into account in the developed method. The fundamental period of the infilled structure is calculated according to the integration of the lateral stiffness of the RC frame and masonry walls along the height. A correction coefficient is considered to control the error for the period estimation, and it is determined according to the multiple linear regression analysis. The corrected formula is verified by shaking table tests on two masonry infilled RC frame models, and the errors between the estimated and test period are 2.3% and 23.2%. Finally, a probability-based method is proposed for the corrected formula, and it allows the structural engineers to select an appropriate fundamental period with a certain safety redundancy. The proposed method can be quickly and flexibly used for prediction, and it can be hand-calculated and easily understood. Thus it would be a good choice in determining the fundamental period of RC frames infilled with masonry wall structures in engineering practice instead of the existing methods.

Fuzzy-based multiple decision method for landslide susceptibility and hazard assessment: A case study of Tabriz, Iran

  • Nanehkaran, Yaser A.;Mao, Yimin;Azarafza, Mohammad;Kockar, Mustafa K.;Zhu, Hong-Hu
    • Geomechanics and Engineering
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    • 제24권5호
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    • pp.407-418
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    • 2021
  • Due to the complexity of the causes of the sliding mass instabilities, landslide susceptibility and hazard evaluation are difficult, but they can be more carefully considered and regionally evaluated by using new programming technologies to minimize the hazard. This study aims to evaluate the landslide hazard zonation in the Tabriz region, Iran. A fuzzy logic-based multi-criteria decision-making method was proposed for susceptibility analysis and preparing the hazard zonation maps implemented in MATLAB programming language and Geographic Information System (GIS) environment. In this study, five main factors have been identified as triggering including climate (i.e., precipitation, temperature), geomorphology (i.e., slope gradient, slope aspect, land cover), tectonic and seismic parameters (i.e., tectonic lineament congestion, distribution of earthquakes, the unsafe radius of main faults, seismicity), geological and hydrological conditions (i.e., drainage patterns, hydraulic gradient, groundwater table depth, weathered geo-materials), and human activities (i.e., distance to roads, distance to the municipal areas) in the study area. The results of analyses are presented as a landslide hazard map which is classified into 5 different sensitive categories (i.e., insignificant to very high potential). Then, landslide susceptibility maps were prepared for the Tabriz region, which is categorized in a high-sensitive area located in the northern parts of the area. Based on these maps, the Bozgoosh-Sahand mountainous belt, Misho-Miro Mountains and western highlands of Jolfa have been delineated as risk-able zones.

한국군 실 사격 훈련간 효율적인 안전지대 데이터 구축 방안 연구 (A Study on the Effective Method to Producing Data for The ROKA Live Fire Training Range Safety)

  • 이준식;최봉완;오현승
    • 산업경영시스템학회지
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    • 제38권3호
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    • pp.64-77
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    • 2015
  • An effective method for produce munitions effectiveness data is to calculate weapon effectiveness indices in the US military's Joint Munitions Effectiveness Manuals (JMEM) and take advantage of the damage evaluation model (GFSM) and weapon Effectiveness Evaluation Model (Matrix Evaluator). However, a study about the Range Safety that can be applied in the live firing exercises is very insufficient in the case of ROK military. The Range Safety program is an element of the US Army Safety Program, and is the program responsible for developing policies and guidance to ensure the safe operation of live-fire ranges. The methodology of Weapon Danger Zone (WDZ) program is based on a combination of weapon modeling/simulation data and actual impact data. Also, each WDZ incorporates a probability distribution function which provides the information necessary to perform a quantitative risk assessment to evaluate the relative risk of an identified profile. A study of method to establish for K-Range Safety data is to develop manuals (pamphlet) will be a standard to ensure the effective and safe fire training at the ROK military education and training and environmental conditions. For example, WDZs are generated with the WDZ tool as part of the RMTK (Range Managers Tool Kit) package. The WDZ tool is a Geographic Information System-based application that is available to operational planners and range safety manager of Army and Marine Corps in both desktop and web-based versions. K-Range Safety Program based on US data is reflected in the Korean terrain by operating environments and training doctrine etc, and the range safety data are made. Thus, verification process on modified variables data is required. K-Range Safety rather than being produced by a single program, is an package safety activities and measures through weapon danger zone tool, SRP (The Sustainable Range Program), manuals, doctrine, terrain, climate, military defence M&S, weapon system development/operational test evaluation and analysis to continuously improving range safety zone. Distribution of this K-range safety pamphlet is available to Army users in electronic media only and is intended for the standing army and army reserve. Also publication and distribution to authorized users for marine corps commands are indicated in the table of allowances for publications. Therefore, this study proposes an efficient K-Range Safety Manual producing to calculate the danger zones that can be applied to the ROK military's live fire training by introducing of US Army weapons danger zone program and Range Safety Manual

개정된 지반증폭계수의 Macro적 액상화 평가에 미치는 영향 분석 (Analysis of the Effect of the Revised Ground Amplification Factor on the Macro Liquefaction Assessment Method)

  • 백우현;최재순
    • 한국지반공학회논문집
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    • 제36권2호
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    • pp.5-15
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    • 2020
  • 포항지진(ML=5.4) 시 발생한 액상화 현상은 국민들에게 지진으로 유발되는 액상화의 위험성을 새롭게 각인시켰고, 이에 대한 대비책으로 액상화 위험지도의 관심이 높아지고 있다. 현재 행정안전부가 보유하고 있는 액상화 위험지도는 2014년 제작된 것으로 전국 100,000개 이상의 시추 자료를 토대로 지하수위 0m인 조건으로 지반조건별 증폭계수를 사용하였으며 시추정보가 없는 지역은 보간법을 이용하여 2km × 2km 격자형식으로 제작된 것이 특징이다. 이러한 가운데, 2018년 행정안전부는 내진설계 공통기준의 새로운 지반분류법과 증폭계수를 공표하였다. 따라서 개정된 행정안전부의 증폭계수를 반영한 액상화 위험지도의 재작성이 필요하다. 본 연구는 내진설계 공통기준 개정 전·후 두 개의 기준으로 전 국토를 대상으로 지반분류를 수행하여 변동성을 분석하였으며, 지반조건별 증폭계수를 적용한 액상화 평가결과를 부산시 강서구를 대상으로 수행하였다. 이때 재현주기 500년과 1,000년에 해당하는 지반가속도를 적용하였으며 우리나라 평균 지하수위인 5m와 극한 조건인 0m로 구분하여 액상화 위험도를 평가하였다. 액상화 위험지도는 기존의 2km × 2km보다 높은 해상도를 확보하기 위해 500m × 500m 격자를 생성하여 위험지도를 작성하였다. 연구결과, 기존 지반분류 기준을 통해 SC, SD 지반으로 분류되었던 지반상태가 개정된 지반분류 기준을 통해 S2, S3, S4로 재분류되었다. 재현주기 500년과 1,000년으로 액상화 평가를 수행한 결과 개정 전 지반증폭계수 적용한 LPI가 상대적으로 과대평가되는 결과를 도출하였다. 본 연구결과는 증폭계수를 이용하는 광역지역 액상화 위험지도 작성의 근간인 액상화 평가에 큰 영향을 미치는 요소로써 향후 광역지역 액상화 위험지도 작성의 경우 반드시 고려될 사항으로 판단된다

Public Health Risks: Chemical and Antibiotic Residues - Review -

  • Lee, M.H.;Lee, H.J.;Ryu, P.D.
    • Asian-Australasian Journal of Animal Sciences
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    • 제14권3호
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    • pp.402-413
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    • 2001
  • Food safety is a term broadly applied to food quality that may adversely affect human health. These include zoonotic diseases and acute and chronic effects of ingesting natural and human-made xenobiotics. There are two major areas of concern over the presence of residues of antibiotics in animal-derived foodstuffs with regard to human health. The first is allergic reactions. Some antibiotics, such as penicillins can evoke allergic reactions even though small amounts of them are ingested or exposed by parenteral routes. The second is development of antibiotic resistance in gut bacteria of human. Recently multi-resistant pneumococcal, glycopeptide-resistant enterococci and gram negative bacteria with extended-spectrum $\beta$-lactamases have spread all over the world, and are now a serious therapeutic problem in human. Although it is evident that drugs are required in the efficient production of meat, milk and eggs, their indiscriminate use should never be substituted for hygienic management of farm. Drug should be used only when they are required. In addition to veterinary drugs, environmental contaminants that were contaminated in feed, water and air can make residues in animal products. Mycotoxins, heavy metals, pesticides, herbicides and other chemicals derived from industries can be harmful both to animal and human health. Most of organic contaminants, such as dioxin, PCBs and DDT, and metals are persistent in environment and biological organisms and can be accumulated in fat and hard tissues. Some of them are suspected to have endocrine disrupting, carcinogenic, teratogenic, immunodepressive and nervous effects. The governmental agencies concerned make efforts to prevent residue problems; approval of drugs including withdrawal times of each preparation of drugs, establishment of tolerances, guidelines regarding drug use and sanitation enforcement of livestock products. National residue program is conducted to audit the status of the chemical residues in foods. Recently HACCP has been introduced to promote food safety from farm to table by reducing hazardous biological, chemical and physical factors. Animal Production Food Safety Program, Quality Assurance Programs, Food Animal Residue Avoidance Databank are para- or non-governmental activities ensuring food safety. This topic will cover classification and usage or sources of chemical residues, their adverse effects, and chemical residue status of some countries. Issues are expanded to residue detection methodologies, toxicological and pharmacokinetic backgrounds of MRL and withdrawal time establishments, and the importance of non-governmental activities with regard to reducing chemical residues in food.

다중회귀분석을 통한 경남 지방도로 절취사면의 안정성평가 (Risk Assessment of the Road Cut Slopes in Gyeoungnam based on Multiple Regression Analysis)

  • 강태승;엄정기
    • 지질공학
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    • 제17권3호
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    • pp.393-404
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    • 2007
  • 본 연구는 절리암반사면의 현장상태 및 위험도에 대한 현장조사를 기초로 사면의 상대적 위험도를 판단 할 수 있는 토대를 마련하기 위하여 개별요인이 사면안정성에 미치는 영향을 고찰하였으며 사면붕괴에 영향을 미치는 요인들에 대한 통계적 분석을 수행하였다. 사면의 붕괴요인으로는 기존에 제시된 인장균열, 지반변형, 구조물 변형, 붕괴발생규모, 절리주향, 절리경사, 절리상태, 사면경사, 강우 및 지하수위, 절취상태, 배수조건, 보호보강상태 등 12가지 항목을 고려하였다. 본 연구를 위한 조사지역은 경상남도 지방도로에 위치한 절취사면 중 붕괴 이력이 있거나 다소 불안감을 보이는 위험 절개지 233개소이다. 조사지역의 사면안정성평가는 각각의 평가요인(붕괴요인)에 따른 사면의 결함지수와 사면위험등급에 의해 수행되었다. 조사된 총 233개소의 사면 중 토사사면을 제외한 암반사면 126개소를 선별하여, 각각의 붕괴요인들과 사면위험등급과의 통계적 연관성분석을 실시하였다. 또한, 다중회귀분석을 수행하고 적용성을 고찰하여 사면결함지수와 위험등급을 예측할 수 있는 통계모형을 제시하였다.

Predictive Modeling for the Growth of Salmonella Enterica Serovar Typhimurium on Lettuce Washed with Combined Chlorine and Ultrasound During Storage

  • Park, Shin Young;Zhang, Cheng Yi;Ha, Sang-Do
    • 한국식품위생안전성학회지
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    • 제34권4호
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    • pp.374-379
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    • 2019
  • 본 연구에서는 대표적인 신선 잎채소류인 상추의 세척 단계에서 초음파 (37 kHz) 와 염소 (100~300 ppm) 의 병용처리 후 냉장 ~ 실온저장 ($10{\sim}25^{\circ}C$)에 따른 이 식품 중의 Salmonella Typhimurium의 성장예측모델을 개발하였다. 1 차 모델 개발을 위해 Gompertz 방정식을 활용하여 각기 다른 실험 조건에서의 S. Typhimurium의 생육도 (SGR 과 LT)를 조사했다. 본 방정식에 의한 1 차 모델 개발시 $R^2$가 0.92 이상으로 우수하게 나타났으며 저장온도가 낮을수록 초음파에 사용된 염소의 농도가 높을수록 SGR 값은 감소하였고 LT 값은 증가하였다. 이를 바탕으로 2 차 polynomial 모델을 개발하여 다양한 통계적 지표 ($R^2$, MSE, $A_f$$B_f$)를 통해 분석한 결과 개발된 모델의 적합성을 확인할 수 있었다. 따라서 개발된 모델이 초음파와 염소의 병용 세척에 따른 저장 중 상추에 대한 S. Typhimurium의 성장예측모델로 사용 가능하다고 판단되어지며, 신선 잎채소류에서의 식중독을 예방하고 미생물학적 위생관리기준을 설정하는데 기초자료로 활용될 수 있을 것으로 사료된다.